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Sleep-related hypermotor epilepsy (SHE), previously known as nocturnal frontal lobe epilepsy, is a form of focal epilepsy characterized by seizures which arise during sleep. The seizures are most typically characterized by complex motor behaviors. It is a relatively uncommon form of epilepsy that constitutes approximately 9-13% of cases.
Frontal lobe epilepsy (FLE) is a neurological disorder that is characterized by brief, recurring seizures arising in the frontal lobes of the brain, that often occur during sleep. [1] It is the second most common type of epilepsy after temporal lobe epilepsy (TLE), and is related to the temporal form in that both forms are characterized by ...
About 2-5% of all children will experience such a seizure during their childhood. [26] In most cases, a febrile seizure will not indicate epilepsy. [26] Approximately 40% of children who experience a febrile seizure will have another one. [26] In those with epilepsy, fever can trigger a seizure.
Sleep paralysis is a state, during waking up or falling asleep, in which a person is conscious but in a complete state of full-body paralysis. [1] [2] During an episode, the person may hallucinate (hear, feel, or see things that are not there), which often results in fear. [1] [3] Episodes generally last no more than a few minutes. [2]
Autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE) is an epileptic disorder that causes frequent violent seizures during sleep. These seizures often involve complex motor movements, such as hand clenching, arm raising/lowering, and knee bending. Vocalizations such as shouting, moaning, or crying are also common.
Other symptoms during this period include drowsiness, headache, difficulty speaking, psychosis, and weakness. [15] [16] [17] Observable signs and symptoms of seizures vary depending on the type. [3] [13] Seizures can be classified into generalized seizures and focal seizures, depending on what part of the brain is involved. [3] [13]
With both generalized and focal seizures (e.g. epilepsy with continuous spike-waves during slow wave sleep) Special syndromes (with situation-related seizures) This classification was widely accepted but has also been criticized mainly because the underlying causes of epilepsy (which are a major determinant of clinical course and prognosis ...
i. Sleep-related hypermotor epilepsy (SHE) is a focal epilepsy syndrome characterized by clusters of complex motor movements such as hand clenching, arm or leg flailing, abnormal posturing, kicking or vocalizations (shouting, moaning, etc.) that arise during sleep. Seizures are generally brief but often occur multiple times each night.
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